| Southern California Neurology Medical Group, Inc. | |
|
625 S Fair Oaks Ave Suite 325 Pasadena CA 91105-2613 | |
| (626) 535-9344 | |
| (626) 535-9387 |
| Full Name | Southern California Neurology Medical Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 625 S Fair Oaks Ave, Pasadena, California |
| Authorized Official Name and Position | Yafa Minazad (OWNER) |
| Authorized Official Contact | 6265359344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern California Neurology Medical Group, Inc. 625 S Fair Oaks Ave Suite 325 Pasadena CA 91105-2613 Ph: (626) 535-9344 | Southern California Neurology Medical Group, Inc. 625 S Fair Oaks Ave Suite 325 Pasadena CA 91105-2613 Ph: (626) 535-9344 |
| NPI Number | 1639461825 |
|---|---|
| Provider Enumeration Date | 05/06/2011 |
| Last Update Date | 05/06/2011 |
| Medicare PECOS PAC ID | 5294997854 |
|---|---|
| Medicare Enrollment ID | O20120427000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639461825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Yafa Elham Minazad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982636122 PECOS PAC ID: 5799708905 Enrollment ID: I20060113000349 |
| Provider Name | Holly L Edge-booth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144393778 PECOS PAC ID: 7719065879 Enrollment ID: I20080415000694 |
| Provider Name | Arbi G Ohanian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982894606 PECOS PAC ID: 6800954223 Enrollment ID: I20081028000841 |
| Provider Name | Wael El-nachef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285951905 PECOS PAC ID: 1254567464 Enrollment ID: I20131118001341 |
| Provider Name | Tyler Chi Han Cheung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790993590 PECOS PAC ID: 9234369240 Enrollment ID: I20140312001579 |
| Provider Name | Kasalyn Thuvamontolrat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396282711 PECOS PAC ID: 1759650526 Enrollment ID: I20170711000606 |
| Provider Name | Edgar Olivas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770902611 PECOS PAC ID: 3173857133 Enrollment ID: I20190625001159 |
| Provider Name | Adena Shahinian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457708182 PECOS PAC ID: 2264702349 Enrollment ID: I20220715001526 |
Brightview Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 S Lake Ave Ste 300, Pasadena, CA 91101 Phone: 626-410-0299 | |
Fuller Psychological And Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 North Oakland Avenue, Pasadena, CA 91101 Phone: 626-584-5555 Fax: 626-584-5558 | |
Dedicato Treatment Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 N Altadena Dr Ste 401, Pasadena, CA 91107 Phone: 626-921-0113 Fax: 626-921-0214 | |
Erin Viray Therapy Practic Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2810 E Del Mar Blvd Ste 7, Pasadena, CA 91107 Phone: 562-666-9055 | |
D'veal Family & Youth Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 E Washington Blvd, Suite 230, 240, 250, 260, Pasadena, CA 91107 Phone: 626-296-8900 Fax: 626-405-8973 | |
Acro Consultancy Services A Psychological Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 E Foothill Blvd Ste 406, Pasadena, CA 91107 Phone: 626-538-5531 | |
Chris Edward Esguerra, M.d., P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 746 S Los Robles Ave, Pasadena, CA 91106 Phone: 650-863-4403 |